Pub Date : 2026-02-01DOI: 10.2105/ajph.2025.308356
Ayden I Scheim
{"title":"The Urgent Need for Evidence and Action on Global Transgender Mental Health.","authors":"Ayden I Scheim","doi":"10.2105/ajph.2025.308356","DOIUrl":"https://doi.org/10.2105/ajph.2025.308356","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"261 1","pages":"166-167"},"PeriodicalIF":12.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.2105/ajph.2025.308375
Nasbarun Dasgupta
{"title":"Science in Service: Reflections on the MacArthur \"Genius\" Fellowship.","authors":"Nasbarun Dasgupta","doi":"10.2105/ajph.2025.308375","DOIUrl":"https://doi.org/10.2105/ajph.2025.308375","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"1 1","pages":"157-158"},"PeriodicalIF":12.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.2105/ajph.2025.308321
Rebecca Sanaeikia
{"title":"Reconsidering Conservative Exclusion Criteria in Claims-Based Research on Gender-Affirming Surgery.","authors":"Rebecca Sanaeikia","doi":"10.2105/ajph.2025.308321","DOIUrl":"https://doi.org/10.2105/ajph.2025.308321","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"270 1","pages":"185-186"},"PeriodicalIF":12.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.2105/ajph.2025.308346
Shiya Zeng,Shi Huang,Wenjing Chen,Ruixiang Li
{"title":"Reassessing Medicaid's Protective Effect During Continuous-Coverage Unwinding: A Focused Reanalysis and Practice Note.","authors":"Shiya Zeng,Shi Huang,Wenjing Chen,Ruixiang Li","doi":"10.2105/ajph.2025.308346","DOIUrl":"https://doi.org/10.2105/ajph.2025.308346","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"266 1","pages":"180-181"},"PeriodicalIF":12.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.2105/ajph.2025.308285
Katherine Y Tossas,Bianca D Owens,Michael O'Grady,Jinlei Zhao,Robert A Winn
Individual and community-level transportation barriers are known drivers of health disparities, especially in rural areas. In a 2021-2022 community-based project to improve cancer screening at federally qualified health centers in Virginia, Department of Transportation policy governing road signage emerged as an unexpected but actionable barrier. Following successful advocacy for road signs directing patients to a rural federally qualified health center, screening rates increased. This highlights the need to recognize unexpected access barriers and engage nontraditional partners, such as transportation agencies, to reduce regulatory-level barriers. (Am J Public Health. 2026;116(2):175-179. https://doi.org/10.2105/AJPH.2025.308285).
{"title":"Roadblocks to Rural Health: State Transportation Policies' Impact on Health Care Access in Virginia's Rural Communities: 2021-2022.","authors":"Katherine Y Tossas,Bianca D Owens,Michael O'Grady,Jinlei Zhao,Robert A Winn","doi":"10.2105/ajph.2025.308285","DOIUrl":"https://doi.org/10.2105/ajph.2025.308285","url":null,"abstract":"Individual and community-level transportation barriers are known drivers of health disparities, especially in rural areas. In a 2021-2022 community-based project to improve cancer screening at federally qualified health centers in Virginia, Department of Transportation policy governing road signage emerged as an unexpected but actionable barrier. Following successful advocacy for road signs directing patients to a rural federally qualified health center, screening rates increased. This highlights the need to recognize unexpected access barriers and engage nontraditional partners, such as transportation agencies, to reduce regulatory-level barriers. (Am J Public Health. 2026;116(2):175-179. https://doi.org/10.2105/AJPH.2025.308285).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"8 1","pages":"175-179"},"PeriodicalIF":12.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.2105/ajph.2025.308286
Scott D Rhodes
{"title":"Celebrating the Legacy and Urgency of Sex-Positive, Queer-Led Public Health.","authors":"Scott D Rhodes","doi":"10.2105/ajph.2025.308286","DOIUrl":"https://doi.org/10.2105/ajph.2025.308286","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"75 1","pages":"202-204"},"PeriodicalIF":12.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-11-13DOI: 10.2105/AJPH.2025.308263
Tyler Gaedecke, Kasey Jackman, Maureen George, Miriam Ryvicker, Walter Bockting
Gender-affirming surgery can reduce distress about gender incongruence among transgender and gender-diverse adults, contributing to improved mental health and quality of life. However, a greater understanding of the psychosocial changes after surgery that influence well-being is needed to maximize these outcomes. In this analysis of interviews (conducted in New York City, January 2023-February 2025) with individuals in the first year after gender-affirming surgery, we identified one such mechanism: an increased sense of connection to one's body fosters the stability, comfort, and environmental awareness to live freely and connect with others. (Am J Public Health. 2026;116(2):205-209. https://doi.org/10.2105/AJPH.2025.308263).
{"title":"\"It Has Transformed Living for Me\": The Trajectory of Alignment, Comfort, and Social Connectedness After Gender-Affirming Surgery.","authors":"Tyler Gaedecke, Kasey Jackman, Maureen George, Miriam Ryvicker, Walter Bockting","doi":"10.2105/AJPH.2025.308263","DOIUrl":"10.2105/AJPH.2025.308263","url":null,"abstract":"<p><p>Gender-affirming surgery can reduce distress about gender incongruence among transgender and gender-diverse adults, contributing to improved mental health and quality of life. However, a greater understanding of the psychosocial changes after surgery that influence well-being is needed to maximize these outcomes. In this analysis of interviews (conducted in New York City, January 2023-February 2025) with individuals in the first year after gender-affirming surgery, we identified one such mechanism: an increased sense of connection to one's body fosters the stability, comfort, and environmental awareness to live freely and connect with others. (<i>Am J Public Health</i>. 2026;116(2):205-209. https://doi.org/10.2105/AJPH.2025.308263).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"205-209"},"PeriodicalIF":9.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145511198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.2105/ajph.2025.308360
David H Cloud,Zaire Cullins,Andrea Armstrong,Lauren Brinkley-Rubinstein
Deaths in jails and prisons are rising, yet the federal government lacks a reliable system to track or prevent them. This essay examines the Department of Justice's failure to implement the Death in Custody Reporting Act and produce accurate and timely data on deaths behind bars. We call for transferring responsibility for carceral mortality monitoring to public health systems with capacity to identify multilevel drivers of death and support interventions that promote prevention and accountability. Shifting this responsibility affirms the value of lives lost and moves surveillance from error-prone, passive recordkeeping to epidemiological systems better equipped to account for how carceral institutions contribute to premature death and population health disparities. Amid political interference and instability in public health, independent scholars must help lead this transition. We outline a path forward focused on strengthening data integrity, improving timely public data access, expanding oversight, and building sustained research infrastructure rooted in public health. Until public health systems are fully empowered, independent scholars, advocates, and journalists remain essential to resisting the erasure of, and holding systems accountable for, preventable deaths behind bars. (Am J Public Health. Published online ahead of print January 29, 2026:e1-e9. https://doi.org/10.2105/AJPH.2025.308360).
{"title":"Who Counts, Who's Accountable: Independent Scholarship and the Future of Carceral Mortality Oversight.","authors":"David H Cloud,Zaire Cullins,Andrea Armstrong,Lauren Brinkley-Rubinstein","doi":"10.2105/ajph.2025.308360","DOIUrl":"https://doi.org/10.2105/ajph.2025.308360","url":null,"abstract":"Deaths in jails and prisons are rising, yet the federal government lacks a reliable system to track or prevent them. This essay examines the Department of Justice's failure to implement the Death in Custody Reporting Act and produce accurate and timely data on deaths behind bars. We call for transferring responsibility for carceral mortality monitoring to public health systems with capacity to identify multilevel drivers of death and support interventions that promote prevention and accountability. Shifting this responsibility affirms the value of lives lost and moves surveillance from error-prone, passive recordkeeping to epidemiological systems better equipped to account for how carceral institutions contribute to premature death and population health disparities. Amid political interference and instability in public health, independent scholars must help lead this transition. We outline a path forward focused on strengthening data integrity, improving timely public data access, expanding oversight, and building sustained research infrastructure rooted in public health. Until public health systems are fully empowered, independent scholars, advocates, and journalists remain essential to resisting the erasure of, and holding systems accountable for, preventable deaths behind bars. (Am J Public Health. Published online ahead of print January 29, 2026:e1-e9. https://doi.org/10.2105/AJPH.2025.308360).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"281 1","pages":"e1-e9"},"PeriodicalIF":12.7,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146072880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-22DOI: 10.2105/ajph.2025.308290
Jonathon P Leider,Moriah Robins,Nicole McDaniel,Rachel Hare Bork,Hunter Doyle,Brian C Castrucci
Objectives. To characterize the national landscape of student loan debt for state and local public health staff and consider the potential roles of loan forgiveness and repayment in workforce development. Methods. This study analyzed data from the nationally representative 2024 Public Health Workforce Interests and Needs Survey, which had 57 000 respondents in the United States. We calculated descriptive statistics and performed an interval regression to assess correlates of student loan balance. Results. More than 40% of the workforce has a student loan balance: $48 000 on average, among those with any debt. Differences are observed by age, race/ethnicity, and level of academic degree. Conclusions. As in other fields, governmental public health is experiencing high rates of turnover while having difficulty with recruitment. Lack of competitive pay and benefits makes it difficult to find and retain staff who may have a public service inclination but also have bills to pay. High on that list of bills, for many, are student loans. Public Health Implications. Loan forgiveness and repayment represent important policy tools to address the ongoing workforce shortage and may be adversely affected by recent federal legislation. (Am J Public Health. Published online ahead of print January 22, 2026:e1-e7. https://doi.org/10.2105/AJPH.2025.308290).
{"title":"Student Loan Debt Burden in the Public Health Workforce.","authors":"Jonathon P Leider,Moriah Robins,Nicole McDaniel,Rachel Hare Bork,Hunter Doyle,Brian C Castrucci","doi":"10.2105/ajph.2025.308290","DOIUrl":"https://doi.org/10.2105/ajph.2025.308290","url":null,"abstract":"Objectives. To characterize the national landscape of student loan debt for state and local public health staff and consider the potential roles of loan forgiveness and repayment in workforce development. Methods. This study analyzed data from the nationally representative 2024 Public Health Workforce Interests and Needs Survey, which had 57 000 respondents in the United States. We calculated descriptive statistics and performed an interval regression to assess correlates of student loan balance. Results. More than 40% of the workforce has a student loan balance: $48 000 on average, among those with any debt. Differences are observed by age, race/ethnicity, and level of academic degree. Conclusions. As in other fields, governmental public health is experiencing high rates of turnover while having difficulty with recruitment. Lack of competitive pay and benefits makes it difficult to find and retain staff who may have a public service inclination but also have bills to pay. High on that list of bills, for many, are student loans. Public Health Implications. Loan forgiveness and repayment represent important policy tools to address the ongoing workforce shortage and may be adversely affected by recent federal legislation. (Am J Public Health. Published online ahead of print January 22, 2026:e1-e7. https://doi.org/10.2105/AJPH.2025.308290).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"69 1","pages":"e1-e7"},"PeriodicalIF":12.7,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146021366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-22DOI: 10.2105/ajph.2025.308355
Maeve E Wallace,Yin Wang,Charles Stoecker
Objectives. To quantify the impact of state abortion bans on trends in fertility and preterm birth following the June 2022 US Supreme Court decision in Dobbs v Jackson Women's Health Organization. Methods. We tested for changes in birth rates and preterm birth rates occurring in the first 18 months following the Dobbs decision by fitting 2-way fixed effects and staggered difference-in-difference models to compare trends in states that banned abortion and those that did not. Results. We detected a statistically significant increase in the birth rate and preterm birth rate among non-Hispanic (NH) Black women above what would be expected in the absence of a ban, averaging a 3.5% increase in the birth rate and 2.1% higher incidence of preterm birth. Impacts were similar in analyses limited to births to women with Medicaid coverage, where trends among NH Black women in states that banned abortion were significantly elevated. Conclusions. The emerging impact of state laws that ban abortion has been uneven, with trends in birth rates and preterm birth increasing especially among NH Black women in states that banned abortion. (Am J Public Health. Published online ahead of print January 22, 2026:e1-e6. https://doi.org/10.2105/AJPH.2025.308355).
{"title":"Changes in Frequency and Health of Live Births Following State Abortion Bans.","authors":"Maeve E Wallace,Yin Wang,Charles Stoecker","doi":"10.2105/ajph.2025.308355","DOIUrl":"https://doi.org/10.2105/ajph.2025.308355","url":null,"abstract":"Objectives. To quantify the impact of state abortion bans on trends in fertility and preterm birth following the June 2022 US Supreme Court decision in Dobbs v Jackson Women's Health Organization. Methods. We tested for changes in birth rates and preterm birth rates occurring in the first 18 months following the Dobbs decision by fitting 2-way fixed effects and staggered difference-in-difference models to compare trends in states that banned abortion and those that did not. Results. We detected a statistically significant increase in the birth rate and preterm birth rate among non-Hispanic (NH) Black women above what would be expected in the absence of a ban, averaging a 3.5% increase in the birth rate and 2.1% higher incidence of preterm birth. Impacts were similar in analyses limited to births to women with Medicaid coverage, where trends among NH Black women in states that banned abortion were significantly elevated. Conclusions. The emerging impact of state laws that ban abortion has been uneven, with trends in birth rates and preterm birth increasing especially among NH Black women in states that banned abortion. (Am J Public Health. Published online ahead of print January 22, 2026:e1-e6. https://doi.org/10.2105/AJPH.2025.308355).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"263 1","pages":"e1-e6"},"PeriodicalIF":12.7,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146021358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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